Inspection · 2022-06-09

Based on a review of caregiver records, the provider did not ensure caregivers had a Sworn Statement completed prior to the first day of employment.
Evidence:
1. The record for staff #1 (start date 5/09/22) contained the Sworn Statement after the first day of employment on 5/11/22.
2. The record for staff #3 (start date 8/13/19) contained the Sworn Statement after the first day of employment on 8/13/19.

Based on a review of staff records and interview, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.
Evidence:
1. The record for staff #3 (date of last TB screening 8/12/19) contained an updated TB screening (TB 4/01/22) exceeding ever two years from the first initial screening or testing.
2. The record for staff #4 (date of last TB 2/13/19) contained an updated TB screening (TB 3/02/21) exceeding ever two years from the first initial screening or testing.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
1. In room #4, a cabinet was broken and moved back and forth when touched.
2. The sink in between bathroom #1 and bathroom #2, had a broken sink cabinet.
3. The sink in between bathroom #3 and bathroom #4, had three drawers that were broken and could not be closed and under the sink was wet from a water leak.
4. In bathroom #2, the back of the toilets' water tank was broken, exposing sharp edges and equipment in the toilets tank.
5. Trash/litter was observed on the playground and included chip bags, candy wrappers, face masks, popsicle wrappers, paper towels, and styrofoam.

Based on observation and interview the center failed to ensure that children under 10 years of age always are within actual sight and sound supervision of staff.

Evidence:
1. In class #7, there were eight infants with one staff member for approximately 2 minutes.
2. The staff member stated that the co-teacher was in the laundry room washing clothes.

Based on observation, the facility did not ensure cribs meet all requirements.
Evidence:
In the Infant classroom two cribs had more than one inch of space between the mattress and the crib.

Based upon observation and interview the provider did not ensure that the prepared infant formula shall be refrigerated, dated and labeled with the child's name.
Evidence:
1. Six bottles were not labeled with the date and child's name.
2. Two bottles were not dated.

Based on observation, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence:
There was not a written record documenting the arrival or departure of the children in attendance at the time of inspection.